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MIRNA MASSOD-LUCA
NPI 1982340824
Pharmacist - Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist in Saint Clair Shores, MI

Active since May 12, 2022
23191 MARTER RD, SAINT CLAIR SHORES, MI 48080(586) 541-1370 Get Directions Write a Review

NPPES record last updated: November 30, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 30, 2022, May 12, 2022 (2 updates tracked since 2022).

About Mirna Massod-luca NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIRNA MASSOD-LUCA (NPI 1982340824) is an individual pharmacist clinician (phc)/ clinical pharmacy specialist in Saint Clair Shores, Michigan, licensed in Michigan (5302413661) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1982340824
Entity TypeIndividualFemale
Primary Taxonomy1835P0018X
Provider Legal NameMIRNA MASSOD-LUCA
Location Address23191 MARTER RDSaint Clair Shores, MI 48080-2717
Mailing Address20903 Harper AveHarper Woods, MI 48225-1132
Phone(586) 541-1370
Sole ProprietorNo
Enumeration DateMay 12, 2022
Last NPPES UpdateNovember 30, 20222 updates tracked since enumeration
NPPES CertifiedNovember 30, 2022
✔ NPI 1982340824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPharmacist · Pharmacist Clinician (PhC)/ Clinical Pharmacy SpecialistPharmacy Service Providers
Taxonomy Code1835P0018X
License✔ Licensed in MI · 5302413661
Definition
Pharmacist Clinician/Clinical Pharmacy Specialist is a pharmacist with additional training and an expanded scope of practice that may include prescriptive authority, therapeutic management, and disease management.
Also ListedPharmacistTaxonomy 183500000X · License 5302413661 (MI)
23191 MARTER RD, Saint Clair Shores, MI 48080
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NESREEN ALTAIRY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
23191 MARTER RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 541-1370
MARIAM ALKHOURY
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
23191 MARTER RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 541-1370
AHTASHAM AHMED PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
23191 MARTER RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 541-1370
KROGER CO OF MICHIGAN
Pharmacy (Community/Retail Pharmacy)
23191 MARTER RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 541-1370
MICHAEL JOSEPH ZEMENICK
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
23191 MARTER RD
SAINT CLAIR SHORES, MI 48080
Macomb County (586) 541-1370

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mirna Massod-luca's NPI number?

The NPI number for Mirna Massod-luca is 1982340824. It was assigned to this individual provider in the NPPES registry on May 12, 2022.

Where is Mirna Massod-luca located?

Mirna Massod-luca practices at 23191 Marter Rd, Saint Clair Shores, MI 48080. The listed phone number is (586) 541-1370.

What is Mirna Massod-luca's specialty?

The primary specialty registered for this NPI is Pharmacist, specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, with taxonomy code 1835P0018X.

When was this NPI record last updated?

The NPPES record for Mirna Massod-luca was last updated on November 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.